Gautam Swotantra, Neupane Aakash, Singh Gurdeep, Sharbatji Mohamad
Department of Internal Medicine, Advent Health, 601 East Rollins Street, Orlando, Florida 32803, United States.
Department of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan-18, Sunsari 56700, Nepal.
Oxf Med Case Reports. 2024 Aug 19;2024(8):omae090. doi: 10.1093/omcr/omae090. eCollection 2024 Aug.
Hepatic artery pseudoaneurysm (HAP) is a serious rare life-threatening complication of Gastrointestinal surgeries that is often overlooked in diagnostic evaluation due to its rarity. We present a case of 71 years female, with a surgical history of gastric sleeve surgery, Roux-en-Y gastric bypass, and cholecystectomy, presenting with features of upper GI bleeding. Multiple diagnostic modalities were used and finally Magnetic Resonance Mesenteric Angiogram was able to pinpoint the location of the GI bleed as a hepatic artery pseudoaneurysm. Primary surgical repair used to be the mainstay treatment option for managing visceral aneurysms. However, due to advances in technology, embolization as well as implantation of covered stent grafts have become the preferred treatment for such lesions.
肝动脉假性动脉瘤（HAP）是胃肠道手术中一种严重且罕见的危及生命的并发症，因其罕见性，在诊断评估中常被忽视。我们报告一例71岁女性病例，该患者有胃袖状切除术、Roux-en-Y胃旁路术和胆囊切除术的手术史，表现为上消化道出血症状。我们使用了多种诊断方法，最终磁共振肠系膜血管造影能够确定胃肠道出血的位置为肝动脉假性动脉瘤。原发性手术修复曾是治疗内脏动脉瘤的主要治疗选择。然而，由于技术的进步，栓塞以及覆膜支架植入已成为此类病变的首选治疗方法。
